| Hollis Hills Medical Pc | |
|
21715 Peck Ave Queens Village NY 11427-1117 | |
| (718) 217-2705 | |
| (718) 217-2708 |
| Full Name | Hollis Hills Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 21715 Peck Ave, Queens Village, New York |
| Authorized Official Name and Position | Roxana Ruizcaro-chavez (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 7182172705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollis Hills Medical Pc 21715 Peck Ave Queens Village NY 11427-1117 Ph: (718) 217-2705 | Hollis Hills Medical Pc 21715 Peck Ave Queens Village NY 11427-1117 Ph: (718) 217-2705 |
| NPI Number | 1750566584 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 12/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750566584 | NPI | - | NPPES |
| 1538256268 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 222374 (New York) | Primary |
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